The risk of infection and death from COVID-19 is higher among older prisoners with pre-existing health conditions especially in Sub-Saharan African.Hawks L et al raise four concerns that need to be considered when developing public health and clinical responses read more to COVID-19 to protect prisoners.This paper applies these concerns to the Sub-Saharan African context.These focus areas include 1) challenges of social distancing; 2) higher risk of severe infection and death; 3) iphone 13 dallas difficulties health care systems may face in the case of COVID-19 surge; and 4) recommended solutions to prevent harm and preventing a public health catastrophe.Prisoners are more vulnerable and the time to take immediate actions to minimize an imminent COVID-19 outbreak and its impacts is now.